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Complaint Investigation

Pearl Of Evanston,the

April 24, 2026 · Evanston, IL · 820 Foster Street
Citations 1
CMS Rating 5/5
Beds 158
Provider ID 145803
Healthcare Facility
Pearl Of Evanston,the
Evanston, IL  ·  View full profile →
Source Document
Official CMS Inspection Report (Medicare.gov)
Downloaded from CMS/Medicare.gov. Reflects what state inspectors documented and does not include the facility's plan of correction, which is submitted separately. Facilities may have taken corrective actions since this report was released.
Inspection Summary

PEARL OF EVANSTON,THE in EVANSTON, IL — inspection on April 24, 2026.

Found 1 citation. Severity: Standard violations.

Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.

Inspection Findings

FF0880
Infection Control Deficiencies

Precaution (EBP) guidelines by not wearing Personal Protective Equipment (PPE) during high-contact

practices in a sample of 6.

The findings include:1.R3 is a [AGE] year-old male with cognition intact as per the MDS dated [DATE].On 4/21/26 at 9:50 AM, observed R3's room door with an enhanced barrier precaution sign requiring gloves and a gown for high-touch activities with the resident.On 4/21/26 at 9:50 AM, observed V3 inside R3's room without having a gown with a Hoyer lift at bedside and R3 on a cardiac chair. V3 stated, I just transferred R3 by myself using the mechanical lift. I didn't know I should have worn a gown to transfer R3 from bed to wheelchair.On 4/21/25 at 9:55 AM, V10 (Licensed Practical Nurse / LPN) stated, R3 has an indwelling urinary catheter, and that's why he is on EBP.' Our staff is supposed to wear gloves and a gown while providing a transfer.2.R4 is a [AGE] year-old male with severely impaired cognition as per the MDS dated [DATE].On 4/21/26 at 10:45 AM, observed V12 (LPN) and V13 (CNA) providing wound dressing change to R4 without wearing a gown.On 4/21/26 at 10:50 AM, V14 (Nurse Supervisor) stated, R4 is on enhanced barrier precaution due to his wounds, and staff were supposed to wear gloves and a gown during wound care.3.R5 is a [AGE] year-old male with a mild cognitive impairment as per the MDS dated [DATE].On 4/21/26 at 10:55 AM, V18 (LPN) stated that R5 is on EBP due to Extended-Spectrum Beta-Lactamase (ESBL) in urine.On 4/21/26 at 10:58 AM, observed V15 (Phlebotomy tech) drawing R5's blood without wearing a gown.On 4/21/26 at 11:00 AM, V15 stated, I had gloves, and nobody told me to wear a gown.On 4/21/26 at 1:45 PM, V2 (Director of Nursing / DON) stated, Our staff is supposed to follow the EBP guidelines with high contact resident care activities. I am going to start an in-service to educate my staff.The facility presented the EBP policy revised on 1/14/26 document: EBP is an approach to targeted gown and glove use during high-contact resident care activities, designed to reduce transmission of Staphylococcus Aureus and multidrug-resistant organisms (MDROs).Examples of high-contact resident care activities:DressingWound careTransferChanging linenProviding hygiene Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided.

For nursing homes, the above findings and plans of correction are disclosable 14 days following the date these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.

LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER TITLE (X6) DATE REPRESENTATIVE'S SIGNATURE

Frequently Asked Questions

What is an F-tag violation?
F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
Were these violations corrected?
Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
How often do nursing home inspections happen?
CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
What should families do about these violations?
Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in EVANSTON, IL, (5) Report new concerns to state authorities.
Where can I see the full inspection report?
Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from PEARL OF EVANSTON,THE or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


More Reports

About This Inspection Report

Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.

Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.

Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.